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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371648
Report Date: 04/01/2025
Date Signed: 04/01/2025 03:22:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/05/2025 and conducted by Evaluator Vivian Trinh
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250205103920
FACILITY NAME:CHRIST LUTHERAN PRESCHOOL HUNTINGTON BEACHFACILITY NUMBER:
304371648
ADMINISTRATOR:ROBLES, DESIREEFACILITY TYPE:
860
ADDRESS:8200 ELLIS AVENUETELEPHONE:
(714) 962-5571
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92646
CAPACITY:53CENSUS: 9DATE:
04/01/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Robles, Desiree (Director)TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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The heating and air conditioning unit in not in good repair causing the classroom temperature to be uncomfortable.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Vivian Trinh conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 2/5/2025. Upon arrival, LPAs met with Director Robles to deliver the complaint findings. The director guided LPAs on a tour of the facility. LPAs took census in individual classrooms and observed a total of 1 toddler, 8 preschool children with 4 staff members, including the Director.
A review of staff records on this date 04/01/2025 indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The Department received a complaint on 2/5/2025 alleging the heating and A/C unit in Toddler's Room is not in good repair, causing the classroom temperature to be uncomfortable.

Continued Page 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20250205103920
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHRIST LUTHERAN PRESCHOOL HUNTINGTON BEACH
FACILITY NUMBER: 304371648
VISIT DATE: 04/01/2025
NARRATIVE
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Page 2.
During the investigation, LPA Trinh conducted facility inspection on 02/10/2025, interviewed the Preschool director, and three (3) staff members and four (4) parents, and reviewed the children’s roster, LIC 500 Personnel Record, Parents Handbook, receipt from the Amazon website, the conversation/emails for proposal to fix the Heater unit in the Toddler’s room with the Executive Director (Lead team).

During inspection, LPA observed the Heater unit is not working appropriately.

During interviews, all four (4) interviewed staff confirmed the Heater and A/C unit did not work appropriately since July 2024 until beginning of March 2025, the interviewed parents did not disclose any information related to the allegation.

During record reviews, although, there was email conversations between Director and facility’s management team about the proposal to fix the Heater, and A/C unit, the problem regarding Heater and A/C unit not working appropriately is still not resolved since July 2024.

Based on LPA’s observation, interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegation has been found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section CCR 101238(a) Building and Ground was observed and cited on the attached 9099D.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The Director was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights.

The Director was informed that the “Notice of Site Visit” must be posted for 30 consecutive days.

End of the Report.
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20250205103920
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHRIST LUTHERAN PRESCHOOL HUNTINGTON BEACH
FACILITY NUMBER: 304371648
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/01/2025
Section Cited
CCR
101238(a)
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101238(a) Building and Ground
101238 Building and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by:
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The Director stated that they had been fixed the Heater unit in toddler’s room since beginning of March 2025, and have been working really well.
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Based on observation, interviews, and records review, the Heater and A/C unit in Toddler’s room has not worked appropriately since July 2024 until March 2025. This poses a potential risk to the health, safety, and person rights of the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 04/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/01/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3